Individual
TROY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014163-1
NY
363AS0400X
Surgical Physician Assistant
Primary
014163-1
NY
Other
Enumeration date
09/15/2010
Last updated
11/08/2010
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